Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry Alan Bridgham, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1740361336

Jerry Alan Bridgham, MD is a Pediatric Adolescent Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14810 Old Saint Augustine Rd Ste 106 Credentialing Dept
Jacksonville, FL 32258-2558
Phone: (904) 268-7701
Fax: (904) 268-9708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence ME49397 (FL)

Record details

NPI number1740361336
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESNovember 19, 2015

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